Steve Martin Rugby League Development & Management Services

Please complete the form below in detail so we can evaluate and create a professional CV to accompany DVD footage of your playing skills...

All fields are required in the form if you can't complete a section please place N/A in the field provided.

Once you have completed the form you will be notified by email and via our confirmation page as to where you need to send your hard copy details...

Required Fields *

First Name :	*
Last Name :	*
D.O.B :	dd/mm/year*
Email Address:	*
Residential Address : (Required)
Phone (Home) :	*
Phone (Mobile) :
Football History: (*Required)
Postions Played :
Preferred Positions:
Other Postions:
Height:
Weight:
Photograph Attached :	Select Yes / No from Drop Down
Game Tapes or DVD's Supplied :	Select Yes / No from Drop Down
Beep Test Records Supplied :	Select Yes / No from Drop Down
Speed Test Records :
10 Metre:	Select Yes / No from Drop Down
30 Metre:	Select Yes / No from Drop Down
50 Metre:	Select Yes / No from Drop Down
Strength Test Records Supplied :	Select Yes / No from Drop Down
State Your Strengths as a Player :
State Your Weakness as a Player :
Family Statistic's- Family History and Relevant Information:
Personal Interests and Goals, Academic Achievements

Thank you for visiting us.

Ennergi: the driving Force that powers the world.